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Functional Medicine

Back Clinic Functional Medicine Team. Functional medicine is an evolution in the practice of medicine that better addresses the healthcare needs of the 21st century. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, functional medicine addresses the whole person, not just an isolated set of symptoms.

Practitioners spend time with their patients, listening to their histories and looking at the interactions among genetic, environmental, and lifestyle factors that can influence long-term health and complex, chronic disease. In this way, functional medicine supports the unique expression of health and vitality for each individual.

By changing the disease-centered focus of medical practice to this patient-centered approach, our physicians are able to support the healing process by viewing health and illness as part of a cycle in which all components of the human biological system interact dynamically with the environment. This process helps to seek and identify genetic, lifestyle, and environmental factors that may shift a person’s health from illness to well-being.


Weakened Immune System and Sickness: El Paso Back Clinic

Weakened Immune System and Sickness: El Paso Back Clinic

There are various reasons for getting sick, but stress is one of the most common. Stress from family, work, school, traveling, etc., wreaks havoc on the body and mind. Working odd or different hours and staying up late disrupts routines and schedules and can generate significant stress. Trying to keep on top of everything and still trying to manage the usual responsibilities and duties can result in a weakened immune system that contributes to persistent illnesses. Chiropractic care combined with functional medicine can strengthen the immune system and restore optimal function.

Weakened Immune System and Sickness: EP Chiropractic TeamWeakened Immune System

The immune system is a network of organs, white blood cells, proteins/antibodies, and chemicals. It protects the body from bacteria, viruses, parasites, and fungi that cause infection, illness, and disease. It’s normal for healthy adults to get sick a few times a year, but constantly being sick signals a weakened immune system. Individuals with weak immune systems also experience digestion issues. This could be constipation or frequent diarrhea. Approximately 70% of the immune system is in the gastrointestinal tract, where the healthy/beneficial bacteria and microorganisms live. If the amount of healthy bacteria is low, it is harder to protect the body from viruses, chronic inflammation, or autoimmune disorders.

Properly Working

  • When the immune system works properly, it can tell which cells are the body’s and which substances are foreign and don’t belong there.
  • It activates, mobilizes, and destroys the outside germs.
  • After exposure, the immune system stores the germs’ identities to develop antibodies to protect the body.

Depleted Immunity

Chronic stress wears down and prematurely ages the immune system. When the body must constantly adapt to changes from stress, it makes the immune system less responsive.

  • Depleted immunity is when the cells that should be ready to activate and fight viruses and bacteria are low in numbers.
  • Ongoing stress, over time, can make the body more vulnerable to illnesses, from colds and flu to chronic diseases like diabetes and heart disease.
  • High-stress levels can cause depression and anxiety, leading to higher levels of inflammation.

Chiropractic Restoration

Chiropractic care can help strengthen the body’s natural ability to heal and recover from illness by realigning the spine, improving circulation, and releasing toxins. Chiropractic works on the central nervous system, which comprises the spine and brain. As proper function and communication are restored, the central and peripheral nervous systems work together to help control the body’s ability to perceive and handle internal and external stress. Injury Medical Chiropractic and Functional Medicine Clinic treatment include:

  • Massage therapy
  • Spinal realignment
  • Decompression therapy
  • Health Coaching
  • Nutritional assistance

Stress Impact


References

Childs, Caroline E et al. “Diet, and Immune Function.” Nutrients vol. 11,8 1933. Aug 16, 2019, doi:10.3390/nu11081933

InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. How does the immune system work? [Updated 2020 Apr 23]. Available from: www.ncbi.nlm.nih.gov/books/NBK279364/

Nicholson, Lindsay B. “The immune system.” Essays in biochemistry vol. 60,3 (2016): 275-301. doi:10.1042/EBC20160017

Segerstrom, Suzanne C, and Gregory E Miller. “Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry.” Psychological bulletin vol. 130,4 (2004): 601-30. doi:10.1037/0033-2909.130.4.601

Dr. Alex Jimenez Presents: How Hypertension Is Explained

Dr. Alex Jimenez Presents: How Hypertension Is Explained


Introduction

Dr. Alex Jimenez, D.C., presents how hypertension affects the human body and some causes that can increase hypertension in many individuals in this 2-part series. We refer our patients to certified medical providers who provide multiple available treatments for many individuals suffering from hypertension associated with the cardiovascular and immune systems affecting the body. We encourage each of our patients by mentioning them to associated medical providers based on their analysis appropriately. We understand that education is a delightful way when asking our providers questions at the patient’s request and understanding. Dr. Jimenez, D.C., only makes use of this information as an educational service. Disclaimer

 

How To Look For Hypertension

Dr. Alex Jimenez, D.C., presents: Let’s go back to the decision tree so you can begin to think about how you will apply the go-to-it model in functional medicine to hypertension and how you will start better assessing somebody with hypertension rather than telling them that their blood pressure is elevated. Is the body influenced by inflammation, oxidative stress, or immune response? Is it affecting endothelial function or vascular smooth muscle from those three categories of reactions, inflammation, oxidative stress, or immune response? Do we choose a diuretic calcium channel blocker or an ACE inhibitor? And so to do that, it’s really important in our gather section. Taking the medical history and the timeline of their hypertension, you get a clue about the organ damage to the questionnaires. You’re looking at their anthropometrics.

 

This includes the following questions:

  • What are the inflammatory markers?
  • What are the biomarkers and clinical indicators?

 

Those are outlined through the clinical decision tree. And already just doing that, you’re going to expand and fine-tune your lens on what you might see in your hypertensive patient. Let’s add to the timeline when does hypertension begin? The timeframe of hypertension begins actually in prenatally. It’s important to ask your patient if they were early or large educational age. Was their mother stressed? Were they born early or premature? Was there nutritional stress in their pregnancy? If they know that, you can have two people with the same kidney size, but the person who didn’t have enough protein during pregnancy can have up to 40% less glomeruli. Knowing that will change how you adjust the medication decades later if you know they possibly have 40% less glomeruli.

 

The Timeline For Blood Pressure

Dr. Alex Jimenez, D.C., presents: So it’s important to take the timeline of their blood pressure. Then it’s also important to recognize what is happening when we begin to organize and collect data through the biomarkers; the basic biomarkers will give you clues about whether they have issues with insulin lipids, whether they have problems with vascular reactivity, autonomic nervous system balance, imbalance, coagulation, or immune toxin effects. So this is a reasonable thing to print off because, in your hypertensive patient, this is through just the biomarkers you can begin to get a clue as to what areas of dysfunction affect inflammation, oxidative stress, and immune response and how these biomarkers reflect that information for you. This is very reasonable to have in front of you to help change your thoughts about hypertension and also enables you to refine some of the characteristics of the person on the other side of your stethoscope in a more personalized, precise way.

 

But let’s start at the very beginning. Does your patient have high blood pressure? We know that depending on the end organ effects of their comorbidities, you may run someone a slightly higher blood pressure if you have a profusion issue in the brain and the kidneys or the heart, but some guidelines are there. Our 2017 American Heart Association guidelines for blood pressure categories are listed here. They’ve waxed and waned back and forth over the last couple of decades, but this is very clear. Having elevated blood pressure, anything above 120, really shifted how many people we start seeing or considering addressing the root causes of their blood pressure. So we will come back to this, especially in the case to help us look at how we categorize people with blood pressure issues.

 

The Criteria To Mesure Blood Pressure

Dr. Alex Jimenez, D.C., presents: What is the first step? It’s how do you have the blood pressure taken in your patient? Do they monitor it at home? Do they bring those numbers to you? How do you monitor blood pressure in your clinic? How do you get accurate readings in your clinic? Here are the criteria to accurately measure blood pressure and the questions to consider whether you’re doing all these. 

  • Do you ask your patient whether they’ve had caffeine in the last hour?
  • Whether they’ve smoked in the previous hour?
  • Were they exposed to smoke in the last hour? 
  • Is the place where you’re taking blood pressure warm and quiet?
  • Are they sitting with their back supported in a chair with their feet on the ground?
  • Do you use the roll-around side table to rest your arm at the heart level?
  • Are they sitting at the exam table with their feet dangling, and a nurse aide elevates their arm and puts in their axillary fold to hold their arm there?
  • Are their feet on the ground? 
  • Have they sat there for five minutes? 
  • Have they exercised in the previous 30 minutes? 

 

You may have systolic blood pressure if everything is in the criteria. Here’s the challenge. There are 10 to 15 millimeters of mercury higher when it comes to sitting and taking blood pressure. What about the cuff size? We know last century; most adults had an upper arm circumference of fewer than 33 centimeters. Over 61% of people now have an upper arm circumference greater than 33 centimeters. So the size of the cuff is different for around 60% of your adult patients, depending on your population. So you have to use a large cuff. So take a look at how blood pressure is collected in your office. Let’s say the blood pressure is elevated in your patients; then we have to ask, is it normal? Great.

 

The Different Types Of Hypertension

Dr. Alex Jimenez, D.C., presents: Is it elevated because of white-coat hypertension? Do they have normal blood pressure, elevated outside the clinic, or masked hypertension? Or do they just have sustained hypertension which is a challenge? We’ll talk about that. So when you interpret, it is also important to consider ambulatory blood pressure monitoring. So if you have somebody who’s hypertensive and don’t know whether the blood pressure goes down and you’re trying to figure out whether they have sustained hypertension, you can use 24-hour blood pressure monitoring. The mean daytime blood pressure above 130 over 80 is hypertensive the mean nighttime blood pressure above 110 over 65 is hypertensive. So why is this important? The average blood pressure dips to around 15% at night because of the issue with blood pressure dipping. Failure to have blood pressure drop while you sleep at night could develop problems that can affect a person throughout the day. 

 

If your patient sleeps at night, it should drop about 15% when they sleep. If they have non-dipping blood pressure, it is associated with comorbidities. What are some of those comorbidities in non-dipping blood pressure? Some of the conditions correlated with non-dipping blood pressure include:

  • Congestive Heart Disease
  • Cardiovascular Disease
  • Cerebrovascular Disease
  • Congestive Heart Failure
  • Chronic Renal Failure
  • Silent Cerebral Infractions

Co-morbidities Associated With Non-Blood Pressure

Dr. Alex Jimenez, D.C., presents: These are the comorbidities associated with non-blood pressure. All of us agree that elevated blood pressure is not necessarily good in all those conditions. So when you look at different people groups or other comorbidities, non-dipping blood pressure is most commonly associated with sodium-sensitive folks, people who have renal insufficiency, people who have diabetes, people who have left ventricular hypertrophy, people who have refractory hypertension or autonomic nervous system dysfunction and finally, sleep apnea. So, non-dipping blood pressure increases your association with subclinical cardiac damage. Okay, Reverse dipping means you are more hypertensive at night and is more ascent associated than during the day is more related to hemorrhagic stroke. And if you have somebody with nocturnal hypertension, you have to start thinking about things like the carotid arteries and increased carotid, internal medial thickness. You start thinking about left ventricular hypertrophy and may see it on EKG. Here’s what we know about nocturnal hypertension. Nocturnal hypertension is a nighttime blood pressure greater than 120 over 70. It is associated with greater predictability of cardiovascular morbidity and mortality.

 

If you have nocturnal hypertension, it increases your risk of mortality from cardiovascular disease by 29 to 38%. We must know what’s happening at night when we sleep, right? Well, what’s another refinement? Another refinement is recognizing that resting blood pressure is controlled by your renin-angiotensin system. Waking blood pressure is controlled by your sympathetic nervous system. So let’s talk about how their renal angiotensin system drives their nighttime hypertension, and you think about what medication they’re taking. You might change the medication dosing to nighttime. Well, studies have shown that if you have nighttime hypertension and are a non-dipper, it’s best to take your ACE inhibitors, ARBs, calcium channel blockers, and certain beta blockers at night before bed. But it makes sense that you wouldn’t move your diuretics to nighttime, or you will have a disruptive sleep.

 

Addressing Daytime & Nighttime Blood Pressure

Dr. Alex Jimenez, D.C., presents: So if we don’t address daytime and nighttime blood pressure, we have to consider the effect of blood pressure load. What is your average daytime blood pressure and your moderate sleeping blood pressure is. We know that blood pressure load in young adults is hypertensive only about 9% of the time. So meaning the systolic load is about 9% versus in the elderly, about 80% of the blood pressure load is systolic. And so when you have a higher systolic load, you have more complications and end-organ damage. So what we’re talking about is helping identify your patient with hypertension; what is their timeline? What is their phenotype? Are they only hypertensive during the day, or they’re hypertensive at night also? We have to look at what helps balance that.

 

Here’s the other point, only about 3.5% of people with hypertension do it have a genetic cause. Only 3.5% of people their genes cause hypertension. The power is at the bottom of the matrix and recognizing these patterns, right? So you look at exercise, sleep, diet, stress, and relationships. So we know that these four autonomic balances help determine blood pressure. We will examine the renal angiotensin system, plasma volume where they hold onto too much fluid, secondary salt load, and endothelial dysfunction. Abnormalities in any of these can lead to hypertension. We’ve been talking about another one that can lead to hypertension: the link between insulin resistance and hypertension.

 

This diagrammatically gives you an idea of the physiologic interactions between insulin resistance and hypertension. It affects increasing sympathetic tone and increasing renal-angiotensin system balance. So let’s spend a few minutes on the renin-angiotensin system pathway angiotensinogen down to angiotensin two. We take advantage of these enzymes by giving inhibitors to angiotensin-converting enzymes in our hypertensives patients. Elevated angiotensin two leads to cardiovascular hypertrophy, leads to sympathetic phase constriction, increased blood volume, sodium fluid, retention, and aldosterone release. Can you inquire about your patient biomarkers? Can you ask whether they have elevated renin levels?

 

Look For The Signs

Dr. Alex Jimenez, D.C., presents: Well, you can. You can check plasma renin activity and aldosterone levels. It’s important to do this if your patient is hypertensive and has never been on medication because this is where nitrous oxide is so important. This is where your endothelial nitric oxide synthase is present. This is where you have sheer and hemodynamic stress. This is where dietary intake of arginine or the environment that affects nitric oxide plays such a role in the health of this layer of endothelia. If you lay it all together somehow, miraculously, or at least in your mind’s eye, it’ll cover six tennis courts in the average adult. It’s a huge surface area. And the things that cause endothelial dysfunction are not new news to people in functional medicine. Increased oxidative stress and inflammation are two things we mentioned that play an effect.

 

And then, look at some of these other components, your ADMA being elevated and correlated with insulin resistance. It all begins to form together in a matrix that interacts. So you look at one comorbidity in cardiometabolic syndrome, and it affects another comorbidity. You suddenly see the interrelation between them or hyperhomocysteinemia, which is a one-carbon metabolism marker, meaning you’re looking at the adequacy of folate, b12, b6, riboflavin, and that activity of your one-carbon metabolism. So let’s look at some of these emerging risk markers to improve and track in patients with hypertension. Let’s reanalyze ADMA again. ADMA stands for asymmetric dimethyl arginine. Asymmetric, dimethyl arginine is a biomarker of endothelial dysfunction. That molecule inhibits nitric oxide synthase while impairing endothelial function, and in all of the comorbidities associated with cardiometabolic syndrome, ADMA can be elevated.

Conclusion

So, as a quick review, L-arginine is converted to nitric oxide via nitric oxide synthase, and nitric oxide adequacy leads to vasodilation. ADMA blocks this conversion. And if your ADMA levels are elevated and your nitric oxide levels are low, then you have decreased nitric oxide platelet aggregation increases in LDL oxidation. So many things reduce nitric oxide or are associated with lower nitric oxide levels, sleep apnea, low dietary arginine, protein, zinc insufficiency, and smoking.

 

Disclaimer

Trail Mix Health: El Paso Back Clinic

Trail Mix Health: El Paso Back Clinic

Trail mix is a favorite snack for many individuals. A typical mix combines granola, dried fruits, nuts, seeds, cereals, and pretzels. The mix was originally developed as a portable snack/meal for hikers that was lightweight, could be stored in a backpack, and provided plenty of protein and energy. Prepackaged trail mix is available at many grocery stores and online retailers. It’s an excellent choice for traveling or going on a road trip because of its energy and nutritional content. However, not all types are considered equal in terms of nutrition. Some can consist of ingredients loaded with sugar and salt. Added consumption could cause weight gain and contribute to conditions like heart disease, type 2 diabetes, and liver problems. Here we look at choosing healthy mixes.

Trail Mix Health: EP's Chiropractic Functional Team

Trail Mix

The nutritional power comes from the high amounts of fiber and antioxidants.

Benefits

Protein and Healthy Fats

Protein is essential for tissue repair, immune health, and muscle development.

  • Nuts and seeds make up the largest portion.
  • A healthy source of protein, allowing individuals to snack on the go and not become hungry.
  • One of the greatest benefits of eating these is that they are full of heart-healthy fats.
  • These healthy fats help decrease unhealthy LDL cholesterol levels and reduce inflammation.

Fiber

  • The fiber in the seeds and granola helps keep the gut healthy and regular.
  • It also helps control appetite, aids in digestion, and keeps the body fuller longer.

Energy

  • Dried fruits and granola consist of healthy sugars.
  • Healthy sugars help stabilize blood sugar levels, providing the body with a consistent energy source.

Antioxidants, Vitamins, and Minerals

  • Dried fruit maintains a majority of its nutritional value.
  • The nuts and seeds are also packed with nutrients and antioxidants.

Choosing Healthy

Check the nutrition label and avoid varieties high in added sugar or sodium.

  • Look for products containing nutrient-dense ingredients like nuts, seeds, dried fruits, and limited amounts of candy or chocolate chips, if any.
  • Healthy ingredients include almonds, pumpkin seeds, cashews, sunflower seeds, dried fruit, popcorn, and dark chocolate.
  • Making trail mix at home allows control of its contents and maximizes its potential health benefits.
  • It is important to keep an eye on portion control.
  • A recommended serving is about a fourth of a cup.

Nutritionist

Nutritional consultation can improve an individual’s quality of life, health, and well-being. A nutritionist can help individuals with precision or personalized nutrition that focuses on the individual. Nutritionists can create meal plans for their clients and provide education and knowledge on appropriate food choices.


Potassium


References

Devitt, A A et al. “Appetitive and Dietary Effects of Consuming an Energy-Dense Food (Peanuts) with or between Meals by Snackers and Nonsnackers.” Journal of nutrition and metabolism vol. 2011 (2011): 928352. doi:10.1155/2011/928352

Grillo, Andrea et al. “Sodium Intake and Hypertension.” Nutrients vol. 11,9 1970. 21 Aug. 2019, doi:10.3390/nu11091970

Mehlhose, Clara, et al. “PACE Labels on Healthy and Unhealthy Snack Products in a Laboratory Shopping Setting: Perception, Visual Attention, and Product Choice.” Foods (Basel, Switzerland) vol. 10,4 904. 20 Apr. 2021, doi:10.3390/foods10040904

Vreman, Rick A et al. “Health and economic benefits of reducing sugar intake in the USA, including effects via non-alcoholic fatty liver disease: a microsimulation model.” BMJ open vol. 7,8 e013543. 3 Aug. 2017, doi:10.1136/bmjopen-2016-013543

Spinal Lymphatic Detox: El Paso Back Clinic

Spinal Lymphatic Detox: El Paso Back Clinic

Chiropractic care has a powerful therapeutic effect on the body’s systems. This includes the nervous, muscular, skeletal, and lymphatic. The lymphatic system is a part of the immune system. It circulates lymph, a fluid comprised of white blood cells that support the immune system, proteins, and fats. The lymphatic system collects toxins, moves waste, and protects the body from foreign invaders. Together with the immune system, the lymphatic system keeps the body balanced. However, imbalances occur due to misalignments, subluxations, compressed nerves, chronic conditions, and injuries. Chiropractic care, massage, and decompression therapy can help mobilize stuck or misaligned joints, reduce muscular tension, alleviate nerve inflammation and discomfort, and restore optimal function.

Spinal Lymphatic Detox: EP Chiropractic Wellness Team

Spinal Lymphatic Detox

Lymphatic System

The lymphatic system is a network throughout the body. The system drains lymph fluid from the blood vessels into the tissues and empties it back into the bloodstream through the lymph nodes. The main functions of the system include the following:

  • Regulates fluid levels in the body.
  • Activates when bacteria or viruses enter.
  • Manages and removes cancer cells or cell byproducts that could result in disease or disorders.
  • Absorbs some of the fats from the intestine.

The lymph nodes and other structures like the spleen and thymus house specialized white blood cells called lymphocytes. These are ready to go and can rapidly multiply and release antibodies when bacteria, viruses, and other stimuli, enter the body.

Fluid Balance

The blood in the vessels is under constant pressure. Nutrients, fluids, and certain cells need to circulate throughout the body to supply the tissues and maintain the system’s defense. The lymphatic system:

  • Removes all fluids and contents that leak into the tissues.
  • Eliminates waste products formed in the tissues.
  • Eliminates bacteria that enter through the skin.

The digestive and respiratory systems are lined with lymphatic tissue because the systems are exposed. The most important sites are the tonsils, the intestinal region, and the appendix. Lymph nodes are the filters. Viruses and cancer cells get trapped and destroyed in the lymph nodes. More lymphocytes are produced when an infection is present, which is why the nodes experience swelling. When the lymphatic system does not drain fluids from the tissues properly, the tissues swell and can cause symptoms of discomfort. If the swelling is only for a short period, it is called edema. If it lasts more than three months, it is called lymphoedema.

Symptoms of Unhealthy Circulation

Unhealthy circulation can include the following symptoms:

  • Fatigue
  • Concentration problems
  • Cold hands or feet
  • Swelling
  • Muscle cramps
  • Numbness
  • Tingling
  • Stinging
  • Throbbing
  • Development of ulcers on the feet, ankles, and legs.

Chiropractic Care

A chiropractic spinal lymphatic detox treatment releases stagnant fluid collected in the joints, muscles, and tissues. A personalized treatment plan will consist of massage therapy to increase circulation, release and relax the muscles and nerves, chiropractic to realign the body, decompression to open the spine, stretching techniques to improve flexibility, and nutritional guidance to support optimal circulation. The benefits include:

  • Discomfort and pain relief.
  • Stress and anxiety relief.
  • Balanced and realigned body.
  • Relaxed muscles.
  • Helps with allergy symptoms.
  • Detoxes bacteria along the spine.

Lymphatic Anatomy


References

Dmochowski, Jacek P et al. “Computational Modeling of Deep Tissue Heating by an Automatic Thermal Massage Bed: Predicting the Effects on Circulation.” Frontiers in medical technology vol. 4 925554. 14 Jun. 2022, doi:10.3389/fmedt.2022.925554

Majewski-Schrage, Tricia, and Kelli Snyder. “The Effectiveness of Manual Lymphatic Drainage in Patients With Orthopedic Injuries.” Journal of sport rehabilitation vol. 25,1 (2016): 91-7. doi:10.1123/jsr.2014-0222

Mihara, Makoto et al. “Combined conservative treatment and lymphatic venous anastomosis for severe lower limb lymphedema with recurrent cellulitis.” Annals of vascular surgery vol. 29,6 (2015): 1318.e11-5. doi:10.1016/j.avsg.2015.01.037

Mortimer, Peter S, and Stanley G Rockson. “New developments in clinical aspects of lymphatic disease.” The Journal of clinical investigation vol. 124,3 (2014): 915-21. doi:10.1172/JCI71608

Weerapong, Pornratshanee et al. “The mechanisms of massage and effects on performance, muscle recovery and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004

An Overview Of Parkinson’s Disease Affecting The Body

An Overview Of Parkinson’s Disease Affecting The Body

Introduction

The brain is one of the most powerful organs providing somatic and peripheral signals throughout the body. The brain ensures that the body stays functional and sends the right amount of neurons and other necessary substances to the various muscles, vital organs, tendons, and ligaments so that the host can continue to move, whether in an active or resting state. However, as the body ages naturally, so does the brain, as numerous factors can affect the body in multiple ways. Chronic conditions like neurodegenerative disorders can affect how the brain functions in the body and can cause a cascading effect on the body that affects not only the motor skills but the muscles, ligaments, and vital organs. Today’s article looks at one of the neurodegenerative disorders known as Parkinson’s disease, how it affects the body, and how to manage Parkinson’s early on to prevent it from affecting the brain. We refer our patients to certified providers that incorporate techniques and various therapies for many individuals from Parkinson’s disease and its correlating symptoms that can affect the musculoskeletal system. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a fantastic way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

What Is Parkinson’s Disease?

 

Do you often find yourself slurring your words? Have you been noticing you’ve constantly been slouching over, and it is affecting your posture? Or have you been dealing with stiffness in different muscle areas? If you have been experiencing any of these symptoms, it could correlate to the early signs of Parkinson’s disease. Studies reveal that Parkinson’s disease is a slow, progressive neurodegenerative disorder affecting about 1% of the world population over 60. This neurological disorder is common, and while it commonly affects men more than women, it causes the basal ganglia to deteriorate over time and causes numerous symptoms to affect the body’s motor function. Additional studies reveal that environmental influences like smoking and endocrine factors could potentially cause overlapping risk profiles that cause early development of Parkinson’s disease. Some of the symptoms that are most common with Parkinson’s disease include:

  • Loss of motor function in the hands and feet
  • Body Tremors when resting
  • Muscle stiffness
  • Unstable posture
  • Unable to write, speak or swallow
  • Sleep issues
  • Cognitive dysfunction
  • Urinary disturbances

These various symptoms cause body dysfunction in the multiple muscles and vital organs and can lead to overlapping risk issues that can mask Parkinson’s disease.

 

How Does Parkinson’s Affect The Body?

 

When Parkinson’s disease affects how the brain sends neuron signals to allow the body’s motor skills to function in each muscle group, the signs and symptoms can vary for each individual. Early symptoms are mild and go unnoticed. However, since Parkinson’s disease affects the body’s motor skills, muscle weakness fits in the symptoms associated with Parkinson’s. Studies reveal that Parkinson’s is a neurodegenerative disorder often characterized by different motor symptoms; a muscular deficiency could cause joint and muscle instability and torque. Muscular deficiency in the body could cause the brain to signal the immune system to send out inflammatory cytokines to the various muscles and vital organs and cause abnormality in the body, which then affects the gut-brain connection and leads to gut dysbiosis associated with muscle stiffness.

 


Understanding Parkinson’s Disease- Video

Have you been experiencing muscle weakness in different areas of your body? Do you feel constipated constantly? Or have you been dealing with cognitive issues affecting your quality of life? Many of these signs and symptoms are associated with a neurodegenerative disorder known as Parkinson’s disease. The video above explains what Parkinson’s disease is and how it affects the brain. Studies reveal that the association between the brain’s structure and Parkinson’s disease correlates to muscle deficiency in the body. Since Parkinson’s is a slow, progressive neurodegenerative disorder, one of the symptoms is muscle weakness. Muscle weakness does occur in the body when Parkinson’s disease starts to progress further and causes a deficit in the central activation of each muscle group. When this happens, numerous issues will begin to develop over time alongside Parkinson’s. On the bright side, there are various ways to slow the progression of Parkinson’s disease and restore the body’s functionality.


How To Manage Parkinson’s Disease Early

 

There are numerous ways that many individuals can slow the progression of Parkinson’s disease early on to prevent more issues from affecting the body’s motor skills. Getting enough exercise can help improve a person’s well-being and motor skills. Incorporating healthy foods and supplements that can improve brain function and reduce other symptoms like inflammation can help improve muscle and organ functionality. And finally, finding hobbies and setting boundaries can lower cortisol levels and decrease stress can be a positive impact on the brain; managing the progression of Parkinson’s can ensure a person’s well-being while making the brain from rewiring those neuron signals from going haywire.

 

Conclusion

Parkinson’s disease is a slow, progressive disorder that causes the brain’s basal ganglia to deteriorate and cause dysfunction in the body’s motor skills. When the brain’s neuron signals become haywire due to Parkinson’s, it can lead to muscle weakness in the body, and that can cause overlapping risk profiles in the body, causing more symptoms to mask Parkinson’s disease. Fortunately, there are numerous ways to slow the progression of Parkinson’s disease early on can reduce the symptoms of Parkinson’s:

  • Eating nutritious food for the brain
  • Exercising
  • Being mindful

When people incorporate these techniques into their lifestyle, they can regain their quality of life.

 

References

Frazzitta, Giuseppe, et al. “Differences in Muscle Strength in Parkinsonian Patients Affected on the Right and Left Side.” PloS One, U.S. National Library of Medicine, 25 Mar. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4373899/.

Kouli, Antonina, et al. “Chapter 1:Parkinson’s Disease: Etiology, Neuropathology, and Pathogenesis.” In: Stoker TB, Greenland JC, Editors. Parkinson’s Disease: Pathogenesis and Clinical Aspects [Internet]. Brisbane (AU), Codon Publications, 21 Dec. 2018, www.ncbi.nlm.nih.gov/books/NBK536722/.

Zafar, Saman, and Sridhara S Yaddanapudi. “Parkinson Disease – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 Aug. 2022, www.ncbi.nlm.nih.gov/books/NBK470193/.

Disclaimer

Holiday Health: El Paso Back Clinic

Holiday Health: El Paso Back Clinic

Winter is when most children and adults are prone to catching colds, the flu, etc. The excitement of the holiday season can also take a toll on the body’s neuromusculoskeletal system, leaving the individual more susceptible to illness. Digestive issues such as bloating, cramping, and constipation are also common. Certain supplements can help maintain body, gut, and brain holiday health. Here are a few recommended supplements to take during the holidays.

Holiday Health: EP's Chiropractic Functional Wellness Team

Holiday Health

To help fill in the gaps from the holiday foods and increase energy, holiday health supplements to consider adding include:

Probiotics

  • Probiotics are healthy bacteria and microbes that populate the gut or microbiome.
  • They help digest nutrients, support proper digestion and elimination, and manage appetite and mood.
  • A quality probiotic supplement supports healthy digestion and immune health.
  • It can help reduce diarrhea, constipation, gas, and bloating while protecting the immune system against pathogens.
  • For the most benefits, it is recommended to take a supplement with a high CFU count, diverse probiotic strains, and a delivery method that ensures the probiotics will survive once consumed.
  • SBO – soil-based organism probiotics are also recommended.

Melatonin

  • The body produces melatonin naturally, especially at night, since this promotes sleep.
  • Melatonin is a hormone that helps regulate the body’s circadian rhythm, which makes you feel tired or alert at the right times of the day.
  • Taking melatonin can help decrease jet lag symptoms.
  • Consider taking melatonin to help promote healthy sleep.
  • However, it’s usually only recommended for short-term use, so consult your doctor.

Vitamin D

  • During the winter, when less sunlight is available, low vitamin D levels are very common among adults.
  • The body naturally makes vitamin D when the skin is exposed to the sun’s UV light rays; however, most spend nearly all their time indoors once the weather becomes cold.
  • Vitamin D is responsible for hundreds of reactions related to brain function, hormone production, and immune defenses.
  • A vitamin D supplement can help maintain healthy levels, which is important for maintaining a strong immune system, cardiovascular and bone health, and mood.

Magnesium

  • Magnesium is a mineral and electrolyte providing cardiovascular and bone support, improved sleep, healthy muscle and nerve function, and healthy digestion.
  • A magnesium supplement can help with aches and pains, restlessness, headaches, and constipation.

Vitamin C

  • Vitamin C intake protects against colds and other illnesses.
  • It supports healthy immune defenses, healthy nervous system function, antioxidant activity, neuron function, and skin health.
  • A vitamin C supplement combined with probiotics further helps support healthy gastrointestinal function and absorption.

Chiropractic For Digestive Health

  • Chiropractic care supports the healthy functioning of the nervous system.
  • The vagus nerve extends from the brain stem and innervates digestive system organs.
  • Sympathetic nerves in the thoracic and lumbar regions and the parasympathetic nerves near the sacrum also support digestion.
  • Decompressing the spine and correcting posture allow room for the muscles to contract, open up the spine to circulate fluids throughout the body, and expand and properly circulate food and waste.

Functional Nutrition Lifestyle Change


References

ancientnutrition.com/blogs/all/soil-based-probiotics-vs-regular?utm_campaign=vitacost&utm_medium=Affiliate&utm_source=article

Ernst, Edzard. “Chiropractic treatment for gastrointestinal problems: a systematic review of clinical trials.” Canadian journal of gastroenterology = Journal canadien de gastroenterology vol. 25,1 (2011): 39-40. doi:10.1155/2011/910469

Govender, Mershen et al. “A review of the advancements in probiotic delivery: Conventional vs. non-conventional formulations for intestinal flora supplementation.” AAPS PharmSciTech vol. 15,1 (2014): 29-43. doi:10.1208/s12249-013-0027-1

Leboeuf-Yde, Charlotte, et al. “Self-reported nonmusculoskeletal responses to chiropractic intervention: a multination survey.” Journal of manipulative and physiological therapeutics vol. 28,5 (2005): 294-302; discussion 365-6. doi:10.1016/j.jmpt.2005.04.010

ods.od.nih.gov/factsheets/Probiotics-HealthProfessional/#:~:text=The%20seven%20core%20genera%20of,Enterococcus%2C%20Escherichia%2C%20and%20Bacillus.

Peterson, Caroline. “A case study of chiropractic management of pregnancy-related heartburn with postulated fetal epigenome implications.” Explore (New York, N.Y.) vol. 8,5 (2012): 304-8. doi:10.1016/j.explore.2012.06.001

Qu, Liuxin, et al. “Irritable bowel syndrome treated by traditional Chinese spinal orthopedic manipulation.” Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan vol. 32,4 (2012): 565-70. doi:10.1016/s0254-6272(13)60072-2

Dr. Alex Jimenez Presents: Preventing Atherosclerosis With Chiropractic Care

Dr. Alex Jimenez Presents: Preventing Atherosclerosis With Chiropractic Care


Introduction

Dr. Jimenez, D.C., presents how to prevent atherosclerosis through various therapies that can help reduce the effects of cardiovascular diseases. By understanding the risk factors causing these issues, many specialists associated with cardiovascular disorders can develop a solution to minimize these symptoms that correlate with the vital organs and muscles with a personalized treatment plan. We acknowledge patients to certified providers that provide treatment options for cardiovascular disorders that can restore body functionality and improve a person’s health. We assess each individual and their symptoms by entrusting them to our associated medical providers based on their diagnosis results for a better understanding. We recognize that education is a tremendous way to ask our providers questions about the patient’s knowledge and symptoms. Dr. Jimenez, D.C., implements this information as an educational service. Disclaimer

 

The Cardiovascular System & Atherosclerosis

Dr. Alex Jimenez, D.C., presents: When the body deals with various issues causing muscle and joint pain, it could be due to overlapping risk profiles affecting the cardiovascular system. In a normal functioning body, the cardiovascular system works with different systems, including the musculoskeletal system, the pulmonary system, the endocrine system, the central nervous system, and the gut system. The heart is one of the main vital organs in the cardiovascular system that supplies oxygen-riched blood to the different muscles, tissues, and organs to function properly. The oxygen-rich blood also carries other items to circulate in the body, like hormones, protein, and nutrients, to be used later. However, when environmental factors start to disrupt the body, they can affect the cardiovascular system and can do serious damage. To that point, it can develop cardiovascular diseases over time and cause body pain. Many studies and research have shown cardiovascular diseases are still the number one in the world that causes mortality and morbidity in the body. They can cause other issues that can affect the body.

 

One of the cardiovascular diseases that can lead to heart dysfunction is atherosclerosis. Atherosclerosis is a buildup of plaque (fats, cholesterol, and other hard, sticky substances) that builds up over time along the artery walls that can slow down the blood flow, causing less circulation in the arteries. When the circulation becomes obstructed, it can lead to ischemia associated with a blood clot due to the different body areas not getting enough blood and oxygen to function properly. 

 

Inflammation Associated With Atherosclerosis

Dr. Alex Jimenez, D.C., presents: When this happens, there can be an imbalance of LDLs (low-density lipoproteins) which can then develop various symptoms over time that can lead to muscle and joint pain. Some of the most common underlying reasons that can cause LDL imbalances associated with atherosclerosis could include the following:

  • Chronic inflammation
  • Immune dysfunction
  • Oxidative stress in the vascular system
  • Poor diet
  • Tobacco exposure
  • Genetics
  • Pre-existing cardiovascular disease

When various disruptors can damage LDL, it can become oxidized over time, damage the cardiovascular endothelium wall, and cause macrophage and platelet activation. To that point, once the macrophages start to eat, they form into foam cells and then explode and release peroxidation, which means that they damage the lining of the blood vessel. 

 

Looking closer at the oxidized LDL, it can biotransform into pro-inflammatory markers and is correlated with vascular inflammation. When dealing with vascular inflammation, the body can develop metabolic endotoxemia. Metabolic endotoxemia is where LPS (lipopolysaccharides) levels elevate even though there is a presence of infections in the body. To that point, it can correlate to gut dysbiosis and chronic inflammatory diseases to stimulate the immune system to increase NFkB inflammatory cytokines and cause muscle and joint pain. 

 

 

When there is an increase in inflammation due to atherosclerosis or any cardiovascular disease an individual may have, the signs and symptoms can vary depending on their environment. Excessive weight gain, hypertension, increased oxidative stress, high triglycerides, low HDLs, etc., can affect the body and make it dysfunctional. These mechanic factors can influence dysbiosis in the cardiovascular and gut systems, leading to chronic conditions like IBS, metabolic syndrome, and cardiovascular diseases. 

Treatments To Lower Inflammation

Dr. Alex Jimenez, D.C., presents: So what can we do to reduce the inflammation associated with atherosclerosis causing muscle and joint pain? Well, one of the ways that many people can do this is by eating less refined carbohydrates, and high sugar can lower high glycemic levels in the body can reduce the risk of cardiovascular diseases. Another way is to try the Mediterranean diet, which includes lean proteins, nuts, extra virgin olive oil, heart-healthy vegetables, fresh fruits, and whole grains to reduce inflammatory markers from proceeding further to causing issues in the body. Even supplements and nutraceuticals like glutathione and omega-3s can reduce chronic inflammation and cardiovascular disease complications by enhancing their antioxidant properties to preserve redox homeostasis while regulating oxidative stress in the body.

 

Another way people can prevent atherosclerosis is by exercising regularly. An exercise routine is an excellent way to keep the heart pumping and allow the muscles to move. Any exercise like yoga, Crossfit, dancing, swimming, walking, and running will allow more oxygen intake to the lungs, allowing the heart to pump out more blood to allow more circulation to the various organs, muscles, and tissues. Plus, any exercise can reduce plaque buildup in the arteries and reduce inflammation in the muscles and joints affecting the body.

 

Chiropractic Care & Inflammation

Dr. Alex Jimenez, D.C., presents: And finally, treatments like chiropractic care can help restore functionality to the body through spinal manipulation. Now, how does chiropractic care correlate with cardiovascular diseases like atherosclerosis? When the body is dealing with inflammation and chronic stress associated with atherosclerosis, the decrease in blood circulation can cause internal organ dysfunction and disrupt the transmitted signals to reach the brain. So when the transmitted signals become blocked, it can cause spinal subluxation to the spine and invokes pain in the upper, middle, and lower sections of the back, neck, hips, and shoulders. To that point, a chiropractor incorporates mechanical and manual manipulation to realign the spine and allow joint and muscle function back to the body. At the same time, chiropractic care can work with other associated medical providers to develop a personal treatment plan that allows the body to begin its recovery process. 

 

Conclusion

Our goal is to reduce inflammation and oxidative stress in the body to dampen the effects of cardiovascular diseases associated with pain. Covering some of the different ways to prevent atherosclerosis from affecting the cardiovascular system in the body can help the vital organs and muscles from producing more inflammation associated with pain. Incorporating heart-healthy and anti-inflammatory food, taking supplements, exercising, and going to treatments can make big changes to the body. The process may be tedious, but the results will slowly improve the body’s functionality and help the individual stay on the path of health and wellness.

 

Disclaimer